| NPI | 1174056006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: OK 46000) |
| Additional Taxonomies | 208600000X Surgery (Licence: AL 37535) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK 46000) | |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2025-07-29 |